EMDR Training Registration Form

  • Training dates for Fall 2021 will all be conducted online on Zoom


    Part 1: Wednesday September 15, 2021 (6:00-8:00pm CST) Thursday to Sunday September 23, 24, 25 & 26, 2021 (8:30am-4:30pm CST)

    Consultation#1: Choose either October 13 (6:00-8:30pm CST) or October 15 (9:00-11:30am CST)

    Part 2: Friday to Saturday October 22 & 23, 2021 (8:30am-4:30pm CST) *Consultation #2 on Friday October 22

    Consultation #3: Choose either November 10 (6:00-8:30pm CST) or November 12 (9:00-11:30am CST)

    Part 3: Thursday – Sunday November 25, 26, 27 & 28 (8:30am-4:30pm CST)

    Consultation #4: Choose either December 8 (6:00-8:30pm CST) or December 10 (9:00-11:30am CST)

  • Consultation preferences between training sessions

    Please indicate your preference
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  • Participant Information

  • Print your name as you wish it to appear on your certificate.

  • Confidentiality

  • Practicum is a major component of training. This may include your engaging in your own processing work, although you have the option to not be in the client role. Please talk to the instructor prior to the beginning of the training should you have any concerns regarding practicum components (e.g. if it is not currently safe for you to engage in processing). For the purpose of training, you are only required to be in the role of clinician during practicum to practice and develop new skills.

    As in your therapeutic practice, confidentiality is very important throughout this training. You will be working with fellow clinicians during practicum and sharing personal information. This information is to be kept confidential to ensure safety of participants, including yourself.
  • In addition, during group consultation you will be sharing client experiences as you begin to use EMDR therapy. Confidentiality is paramount and required on all cases discussed, relative to discussions held and cases reviewed. Signed releases by the participant’s clients are required on all cases discussed in meetings (please ensure this is included on any policy forms that describe confidentiality for your practice). It is the participant’s responsibility to maintain the release in the client’s file. You must be able to practice EMDR therapy following Part 1 of training.

  • Prerequisites for EMDR Training

  • Licensed Health Professionals
    • Medical Doctors licensed in their province or state
    • Registered Nurses who have a Masters Degree with a specialization in mental health and who are licensed in their province or state
    • Mental health clinicians who have at minimum of a Master’s Degree in a mental health field (Counseling, Marriage and Family Therapy, Psychology, Psychotherapy, Psychiatry, Social Work) or related mental health discipline and be licensed to practice through a professional organization or regulation body that includes a code of ethics and public protection.
  • Pre-Licensed Mental Health Professionals
    • Clinicians who are actively pursuing a mental health license through their provincial, state, or national regulating body while working under a licensed supervisor (e.g., intern, associate).
    • Pre-Licensed clinicians who have a Master’s Degree in a mental health field and are actively pursuing a full license through their provincial, state, or national regulating body.
  • Graduate Students
    • Clinicians who are actively pursuing a mental health license through their provincial, state, or national regulating body while working under a licensed supervisor (e.g., intern, associate).
    • Pre-Licensed clinicians who have a Master’s Degree in a mental health field and are actively pursuing a full license through their provincial, state, or national regulating body.
  • If you are unsure that you meet these pre-requisites, please contact the training provider.

    All participants are welcome at training, so long as the pre-requisites are met, regardless of an individual’s sexual orientation, gender identity, race, ethnicity, culture, religion, or disability. Participants will be supported throughout training to best help them learn and integrate the material. For further discussion, please contact Dr. Penner Hutton.

  • Attach to your registration:

    • A copy of your Master or Doctoral Diploma
    • A copy of your liability insurance if you are in private practice
    • A copy of your license as a mental health provider
    • Payment in the amount of $200 non-refundable deposit to hold your space (which will be deducted from later payments for the early or regular registration fees). e-transfer to drkelly@peaceofmindemdr.ca

      • o Early registration paid by August 15, 2021 (11:59pm) $2200+$110GST = $2310 (paid in full by August 15)
      o August 16-September 8 => $2400+$120GST = $2520 (paid in full by September 8)

    • Note: The earlier you register, the earlier you will receive the course materials and can engage in pre-learning reading
    • Drop files here or
      Accepted file types: pdf, png, jpg.